NPIMap

Advanced Radiology P a

Organization Active NPI Diagnostic Radiology Physician · Lutherville, MD

NPI 1497610240 · NPPES record last updated Dec 23, 2025

Key facts

NPI
1497610240
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
ADVANCED RADIOLOGY P A
Practice address
1312 Bellona Ave Ste 102
Lutherville, MD 21093-5453
Phone
(443) 436-1100
Fax
(443) 436-1256
NPI assigned
Dec 23, 2025
Organization subpart
Yes
Parent organization (as reported)
ADVANCED RADIOLOGY P A

Authorized official

Name
David I Safferman, M.D.
Title
President & Ceo
Phone
(443) 436-1116

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040420001334 MD Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 133 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Anant Kusakull (52 organizations share this tax ID)
Part of
Anant Kusakull

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207U00000X
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0202X Yes

Addresses

Primary practice location

1312 Bellona Ave Ste 102
Lutherville, MD 21093-5453

Mailing address

10461 Mill Run Cir Ste 1020
Owings Mills, MD 21117-5544
Phone (443) 436-1100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 23, 2025.

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1497610240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10461 MILL RUN CIR STE 1020",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175544",
            "telephone_number": "443-436-1100",
            "fax_number": "443-436-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 BELLONA AVE STE 102",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935453",
            "telephone_number": "443-436-1100",
            "fax_number": "443-436-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RADIOLOGY P A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED RADIOLOGY P A",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "SAFFERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "443-436-1116",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

All providers in Lutherville, MD · Diagnostic Radiology Physician in Maryland

Sources for this page

Verify at the official NPI Registry.